기저질환이 없는 환자에서 발생한 Brevundimonas species에 의한 각막염
Brevundimonas Species Keratitis in a Patient without Underlying Disease
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목적: Brevundimonas diminuta/vesicularis에 의한 각막염 1예를 경험하였기에 국내 최초로 보고하는 바이다. 증례요약: 20세 남자 환자가 내원 2일 전부터 시작된 우안 시력저하 및 눈부심을 주소로 내원하였다. 초진 시 세극등검사상 우안각막 중심부에 1.5 × 150 mm 크기의 각막상피결손을 동반한 기질 침윤, 전반적인 각막부종 소견이 관찰되었다. 배양검사상 Brevuddimonas diminuta/vesicularis가 검출되었다. 경험적 항생제 안약으로 치료 후 증상의 소실과 시력회복이 관찰되었다. 결론: Brevundimonas diminuta/vesicularis에 의한 감염각막염 1예를 우리나라 최초로 경험하였기에 기존 문헌 고찰과 함께 이를 보고하고자 한다.
Abstract
Purpose: To report a case of keratitis caused by Brevundimonas diminuta/vesicularis. Case summary: A 20-year-old man presented with decreased visual acuity and glare in his right eye from 2 days earlier. At the first visit, slit lamp examination revealed a 1.5 × 1.5 mm2-sized stromal infiltration, an edematous cornea and endothelial deposits in the center of the right eye. Microbiological examinations were performed from corneal scrapings. Treatment was started with topical eye drops (fortified cefazolin, fortified tobramycin) as empirical antibiotics. After several days, the cultures revealed Brevundimonas diminuta/vesicularis. After treatment with empirical antibiotic eye drops, the symptoms and visual acuity improved. Conclusions: We report a case of infectious keratitis caused by Brevundimonas diminuta/vesicularis, which has never previously been reported in the Republic of Korea.
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